Diabetes Management Among Arab Americans Who Sought Care at a Large Metropolitan Hospital System in Michigan

Florence J. Dallo, Oakland University
Julie J. Ruterbusch, Wayne State University
Jennifer R. McCullough, Oakland University
Sruthi Sreedhar, Oakland University
Kendra Schwartz, Wayne State University
Elie Mulhem, William Beaumont Hospital


© 2018, Springer Science+Business Media, LLC, part of Springer Nature. To estimate and compare the management of diabetes among Arab, Asian, non-Hispanic Black, and non-Hispanic Whites attending a large health system in metropolitan Detroit. Data were electronically abstracted for 6622 adult patients with diabetes. Dependent variables were uptake of A1c testing and results, LDL-C testing and results, and eye examination frequency. The independent variable was race/ethnicity. Logistic regression models were used to examine the association between Arab Americans and non-Hispanic Whites for each of the dependent variables while controlling for confounders. Arab Americans were 38% more likely than non-Hispanic Whites to report an A1c > 7% (OR 1.38; 95% CI 1.03, 1.87). Arab Americans were 62% less likely to receive an eye exam compared to non-Hispanic Whites (OR 1.62; 95% CI 1.21, 2.17). Population based studies about diabetes management among Arab Americans will facilitate tailored interventions aimed at preventing/delaying diabetes complications and reducing premature mortality due to diabetes.